STANLEY R MARTIN (O.D.) – Optometrist, NPI 1003841420

STANLEY R MARTIN (O.D.) is a healthcare provider. based in Mc minnville, Tennessee. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OD1185T (TN). The NPI Number for STANLEY R MARTIN (O.D.) is 1003841420

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
STANLEY R MARTIN (O.D.)
NPI
1003841420
Phone
(931) 473-1986
Address
231 NORTHGATE DR
Enumeration Date
12 July 2006
Last Update Date
25 September 2013

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
9314731986
Graduation Year
1988 (38 years ago)
PAC ID
7517124266
Professional Enrollment ID
I20120207000821
Address ID
TN371101436MC231XXDRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

957 OPTOMETRY in TN

Provider Addresses for STANLEY R MARTIN (O.D.)

  • 231 NORTHGATE DR

    SUITE 106

    MC MINNVILLE, TN 371101426

    Phone: (931) 473-1986

    Fax: (931) 473-1334

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-02-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120207000821IOptometryTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes192182$0
66984Removal of cataract with insertion of prosthetic lens5832$0
99203New patient office or other outpatient visit, 30-44 minutes3939$0
99212Established patient office or other outpatient visit, 10-19 minutes3431$0
99214Established patient office or other outpatient visit, 30-39 minutes2322$0
View full utilization report →

Insurance plans in this area (ZIP 37110)

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Reviews

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Frequently asked questions

What number should I use to identify STANLEY R MARTIN (O.D.) for billing?
Administrative and clinical systems typically use NPI 1003841420 for STANLEY R MARTIN (O.D.).
Is STANLEY R MARTIN (O.D.) currently accepting referrals based on NPI status?
Registry metadata lists STANLEY R MARTIN (O.D.) as active.
What type of care does STANLEY R MARTIN (O.D.) provide?
STANLEY R MARTIN (O.D.)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to STANLEY R MARTIN (O.D.)?
STANLEY R MARTIN (O.D.) is associated with Mc Minnville, Tennessee in the same public data insurers reference.
Who maintains STANLEY R MARTIN (O.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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